Susan Love LCSW LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SUSAN LOVE LCSW LLC

Practice address

408 Center St
Grayslake, IL 60030-1626

Phone

(847) 223-4996

NPI assigned

Apr 19, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Susan D. Love, LCSWNPI 1447649603

Title

Member

Phone

(847) 223-4996

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan D Love, L.C.S.W

  • Clinical Social Worker
  • Grayslake, IL
  • NPI 1447649603
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555632000000",
    "number": "1215590740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 BURTON ST",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600301507",
            "telephone_number": "847-223-4996",
            "fax_number": "855-414-4892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 CENTER ST",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600301626",
            "telephone_number": "847-223-4996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN LOVE LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-19",
        "last_updated": "2019-04-19",
        "status": "A",
        "authorized_official_last_name": "LOVE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "847-223-4996",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Grayslake, IL
• Providers in Grayslake, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.